{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:40:05Z","timestamp":1756320005195,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"funder":[{"DOI":"10.13039\/100012151","name":"University Hospitals of Leicester NHS Trust","doi-asserted-by":"publisher","award":["866108"],"award-info":[{"award-number":["866108"]}],"id":[{"id":"10.13039\/100012151","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,8,13]]},"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:p>We report the case of a bronchial foreign body, following a tracheostomy site swab for SARS-CoV-2, aiming to raise awareness and vigilance. A qualified nurse was performing a routine SARS-CoV-2 swab on a 51-year-old woman, fitted with a tracheostomy in the recent past following a craniotomy. This was part of the discharging protocol to a nursing home. During the sampling, part of the swab stylet snapped and was inadvertently dropped through the tracheostomy site. Initial CT imaging was reported as showing no signs of a foreign body but some inflammatory changes. Bedside flexible endoscopy through the tracheostomy site revealed the swab in a right lobar bronchus. This was subsequently removed by flexible bronchoscopy. This case highlights the need for clear guidance on how samples for SARS-CoV-2 are taken from patients with front of neck airways (laryngectomy\/trache\u03bfstomy) and the potential pitfalls involved.<\/jats:p>","DOI":"10.1136\/bcr-2020-237787","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T03:18:18Z","timestamp":1598584698000},"page":"e237787","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Tracheal swab from front of neck airway for SARS-CoV-2; a bronchial foreign body"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5988-3405","authenticated-orcid":false,"given":"Mohammed Hassan","family":"Hussain","sequence":"first","affiliation":[{"name":"Department of ENT, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saad","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Department of ENT, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Mahmood","sequence":"additional","affiliation":[{"name":"Department of ENT, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodoros","family":"Valsamakis","sequence":"additional","affiliation":[{"name":"Department of ENT, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,8,27]]},"reference":[{"key":"2025082711110394000_13.8.e237787.1","unstructured":"World Health Organization . Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected: interim guidance, 13 March 2020 (NO. WHO\/2019-nCoV\/clinical\/2020.4). World Health Organization, 2020."},{"key":"2025082711110394000_13.8.e237787.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.1585"},{"key":"2025082711110394000_13.8.e237787.3","doi-asserted-by":"crossref","unstructured":"Wang W , Xu Y , Gao R , et al . Detection of SARS-CoV-2 in different types of clinical specimens. JAMA 2020.doi:10.1001\/jama.2020.3786","DOI":"10.1001\/jama.2020.3786"},{"key":"2025082711110394000_13.8.e237787.4","unstructured":"Centers for Disease Control and Prevention . Interim guidelines for collecting, handling, and testing clinical specimens from persons under investigation (PUIs) for coronavirus disease 2019 (COVID-19).."},{"key":"2025082711110394000_13.8.e237787.5","unstructured":"NTSP . NTSP considerations for tracheostomy in the COVID-19 outbreak. Available: http:\/\/www.tracheostomy.org.uk\/storage\/files\/NTSP%20COVID_19%20tracheostomy%20guidance%2031_3_20.pdf"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-237787","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:11:11Z","timestamp":1756318271000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-237787"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":5,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2020,8,27]]},"published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1136\/bcr-2020-237787"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-237787","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}